Case Manager

About the role

• Job Title: Case Manager
• Reports To: Clinical Director, Lead Case Manager
• Department: Case Management
• Location: On-site, Dumfries, VA
• Employment Type: Full-time | Salaried | Exempt

The pay range for this position is $50,000 - $65,000 annually, set in good faith based on the responsibilities of the role, qualifications, and market conditions.

Job Summary

The Case Manager plays a critical role in supporting client continuity of care by coordinating discharge planning, facilitating Medicaid enrollment, scheduling follow-up appointments, and ensuring seamless transitions between levels of care. This position collaborates closely with clinical, medical, admissions, and external providers to support client stability, compliance, and long-term recovery outcomes.

Key Responsibilities

• Coordinate comprehensive discharge planning for clients, beginning at admission and continuing throughout treatment
• Facilitate Medicaid enrollment, recertification, and eligibility verification for clients as appropriate
• Schedule, coordinate, and confirm appointments during active treatment and for aftercare, including primary care, behavioral health, psychiatry, MAT providers, and community supports etc.
• Arrange and coordinate client transportation to medical, behavioral health, and community appointments as needed, both during treatment and post-discharge
• Provide transportation as needed
• Facilitate life skills groups, supporting clients in developing practical skills related to daily living, self-advocacy, time management, community reintegration, and recovery stability
• Communicate discharge and aftercare plans clearly with clients, families (as appropriate), and treatment team members
• Collaborate with therapists, nursing, medical providers, admissions, and transportation partners to ensure timely and appropriate step-down placements and continuity of care
• Maintain active communication with external providers, referral sources, transportation vendors, and community agencies
• Ensure all discharge and case management documentation is completed accurately and within required timeframes
• Track and follow up on outstanding referrals, appointments, transportation needs, and insurance-related requirements
• Document all case management and coordination activities thoroughly in the electronic health record in compliance with regulatory and payer standards
• Participate in multidisciplinary treatment team meetings and contribute to client-centered care planning

Minimum Qualifications

Education / Credentials

• Associate's degree in Social Work, Human Services, Psychology, or a related field or CSAC-A (required)
• Bachelor's degree in Social Work, Human Services, Psychology, or a related field (preferred)

Experience

• Previous experience in case management, discharge planning, or care coordination
• Experience working in behavioral health, substance use disorder treatment, or healthcare settings preferred

Knowledge / Skills

• Strong understanding of discharge planning processes and continuity of care
• Working knowledge of Medicaid enrollment processes and eligibility requirements
• Excellent organizational, time management, and follow-up skills
• Strong communication and interpersonal skills with clients, families, and interdisciplinary teams
• Ability to work independently while managing multiple priorities
• Proficiency with electronic health records and basic office software

Working Conditions

• Direct care position with regular client interaction
• Schedule aligned with program operations; flexibility may be required to meet discharge needs
• 40 hours per week, Monday-Friday 8:00am-4:30pm Monday-Friday, with weekend rotation
• Office-based with coordination across clinical units and external providers

Why This Role Matters

• The Case Manager serves as the connector between clinical care, operations, external systems, and client continuity of care.
• This role is a stabilizing force within the treatment system.
• Without strong case management, clinical progress becomes fragile and difficult to sustain.
• This role protects treatment outcomes, supports client stability, and strengthens the integrity of the entire care continuum.

Pre-Employment Requirements

Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.